Mark Anthony Manuel Mendiola D.D.S.

NPI 1407903032 - Dentist - 122300000X

NPI Details
NPI 1407903032
Gender Male
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2001 S CALIFORNIA AVE
CHICAGO IL, 60608-2486, US
Phone (773) 484-1201
Fax
Business Location
345 N LA SALLE DR
UNIT 4407
CHICAGO IL, 60610-6101, US
Phone (248) 210-8049
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Mark Anthony Manuel Mendiola D.D.S. NPI is 1407903032, taxonomy code is 122300000X Mark Anthony Manuel Mendiola D.D.S. physically located at 2001 S California Ave, Chicago IL, 60608-2486. NPI Number Mark Anthony Manuel Mendiola D.D.S. has the Individual type.

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1407903032 NPI number is provided on an as is basis without warranty of any kind. 1407903032 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Anthony Manuel Mendiola D.D.S. are for informational purposes only.